| Popis: |
The course of development followed experiments with the so-called fundectomy [16, 81, 83, 85 p. 486–496, 506, 102 p. 65, 108]. It proceeded independently of Dragstedt, yet in full awareness of his initial difficulties. The fundectomy was chosen as it is to be regarded as the prototype of a radical denervation and devascularisation of the proximal stomach. The method is not without its risks. It was necessary to take small steps in order to progress from fundectomy for fundic carcinoma to the definitive method of sub-diaphragmatic fundectomy which was clinically practicable for ulcers in the region of the cardia (Fig. 3). |
